Abstract：
BACKGROUND:Lumbar stenosis is characterized by a narrowing of the spinal canal in association with progressive degenerative changes in the lumbar spine and surrounding structures, including hypertrophy of the ligamentum flavum (LF). OBJECTIVES:The aim of this study was to examine the usefulness of endoscope-assisted interlaminar lumbar decompression (EILD) for patients with lumbar stenosis and hypertrophy of the LF. STUDY DESIGN:Retrospective study. SETTING:Department of Anesthesiology and Pain Medicine, Neurosurgery at Wooridul Spine Hospital. METHODS:A total of 51 patients were enrolled in this study. Outcomes were evaluated at baseline and at 2 weeks and 6 months postprocedure via the Numeric Rating Scale, Oswestry Disability Index (ODI), and Zurich Claudication Questionnaire (ZCQ). RESULTS:Mean posttreatment pain scores at 2 weeks and 6 months were significantly lower, and ODI scores were significantly decreased compared with baseline. ZCQ scores were also significantly decreased compared with pretreatment surveys. Two patients required reoperation within one month. At postprocedure 6 months, a>/= 50% reduction in pain score was recorded in 26 (80%) of 51 patients, and there was >/= 40% reduction in ODI score in 82% of patients. No serious complications including epidural bleeding, dural or neural injuries, or infection were recorded. LIMITATIONS:This study lacked secondary outcome substantiation. In addition, the follow-up period was short (< 6 months), and no patients had postprocedure magnetic resonance imaging. The number of patients was also small. CONCLUSIONS:EILD provided good outcomes and may be a reasonable treatment option for carefully selected patients with hypertrophy of the LF. KEY WORDS:Spinal stenosis, ligamentum flavus, hypertrophy, decompression, endoxcope, minimally.
journal_name
Pain Physicianjournal_title
Pain physicianauthors
Park CH,Lee SHsubject
Has Abstractpub_date
2019-11-01 00:00:00pages
E573-E578issue
6eissn
1533-3159issn
2150-1149journal_volume
22pub_type
杂志文章相关文献
Pain Physician文献大全abstract：UNLABELLED:Complex regional pain syndrome (CRPS) presents a therapeutic challenge due to its many presentations and multifaceted pathophysiology. There is no approved treatment algorithm and clinical interventions are often applied empirically. In cases of CRPS where symptoms are localized to an extremity, a targeted t...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2016-09-01 00:00:00
abstract：BACKGROUND:Cervicogenic headache descriptors include its unilateral nature, "signs and symptoms linking it to the neck," and trauma of the neck. Since the pain often occurs over the C2 or C3 nerve root, we used a modification of the deep cervical block technique for treatment of this refractory type headache. OBJECTIV...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2008-11-01 00:00:00
abstract：BACKGROUND:Several meta-analyses have been performed to compare unilateral percutaneous kyphoplasty (PKP) and bilateral PKP in the treatment of osteoporotic vertebral compression fractures (OVCFs), but inconsistencies in the results have led to questions as to which technique is preferable. OBJECTIVE:This study was de...
journal_title：Pain physician
pub_type： 杂志文章,meta分析
doi：
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Pain arising from the lumbar facet joints is a common cause of axial back pain in adults. Radiofrequency neurotomy (RFN) of the medial branches of the spinal dorsal rami has been used as a treatment option. The most common side effect is transient, localized, burning, neuritic-type pain, termed post-neurotom...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Both the Office of Inspector General (OIG) and reports from studies of the utilization of facet joint interventions have expressed that explosive increases in facet joint interventions provided to spinal pain patients are a major concern. STUDY DESIGN:The study is designed to assess the growth of facet join...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2013-07-01 00:00:00
abstract：BACKGROUND:The superior hypogastric plexus (SHGP) carries afferents from the viscera of the lower abdomen and pelvis. Neurolytic block of this plexus is used for reducing pain resulting from malignancy in these organs. The ganglion impar (GI) innervats the perineum, distal rectum, anus, distal urethra, vulva, and dista...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2015-01-01 00:00:00
abstract：:With health care expenditures skyrocketing, coupled with pervasive quality deficits, pressures to provide better and more proficient care continue to shape the landscape of the U.S. health care system. Payers, both federal and private, have laid out several initiatives designed to curtail costs, including value-based ...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2011-03-01 00:00:00
abstract：:Proper coding and documentation for evaluation and management services continuously and progressively are becoming not only complicated, but also confusing. Although medical evaluation of patients has been a fact of life since the beginnings of medical history, medicine has been substantially influenced by federal reg...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：BACKGROUND:Pulsed radiofrequency (PRF) therapy is a clinical treatment utilizing electromagnetic energy aimed to relieve neuropathic pain. This is the first study examining the modulated expression of pain regulatory genes following the induction of the spared nerve injury (SNI) pain model and subsequently treated with...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2013-09-01 00:00:00
abstract：:Clinical outcome data was analyzed for 67 patients with contained disc herniation who underwent percutaneous disc decompression procedure using Coblation(R) technology, also referred to as Nucleoplasty after failing to respond to conservative management. Patients presented with clinical symptoms of discogenic low back...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2002-07-01 00:00:00
abstract：BACKGROUND:Lumbar disc prolapse, protrusion, and extrusion are the most common causes of nerve root pain and surgical interventions, and yet they account for less than 5% of all low back problems. The typical rationale for traditional surgery is that it is an effort to provide more rapid relief of pain and disability. ...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2013-04-01 00:00:00
abstract：:Practice guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific clinical circumstances. Clinical practice guidelines present statements of best practice based on a thorough evaluation of the evidence from published studies ...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：:Discogenic low back pain resulting from internal disc disruption can be severely disabling, clinically challenging, and expensive to treat. Previously, when conservative care had been exhausted, open surgical intervention such as spinal fusion or artificial disc replacement was the only treatment option for these pati...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:Thoracic epidural analgesia (TEA) has a well-known effect on neurohormonal response. Attenuation of stress response by post-operative epidural analgesia has shown beneficial effects such as lower pain scores and less immunological alterations. OBJECTIVES:Investigation of the combined effects of TEA and prot...
journal_title：Pain physician
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2014-07-01 00:00:00
abstract：:Vertebroplasty and kyphoplasty are relatively new techniques used to treat painful vertebral compression fractures (VCFs). Vertebroplasty is the injection of a vertebral body with bone cement, generally polymethylmethacrylate (PMMA). Kyphoplasty is the placement of balloons (called "tamps") into the vertebral body wit...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
abstract：BACKGROUND:Symptomatic lumbar spinal stenosis is a condition affecting a growing number of individuals resulting in significant disability and pain, leading to a multitude of interventions ranging from simple over the counter medication to opioids, and, finally, to complex surgical fusions. After failure of conservativ...
journal_title：Pain physician
pub_type： 杂志文章,meta分析
doi：
更新日期：2019-11-01 00:00:00
abstract：BACKGROUND:Chronic low back pain (CLBP) incurs huge costs owing to increased healthcare expenditure, disability, insurance, and work absenteeism. Opioid analgesics are commonly used for the management of CLBP. OBJECTIVE:To compare and rank the opioids used in the management of CLBP, in terms of efficacy and safety. S...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2021-01-01 00:00:00
abstract：BACKGROUND:Discography has been widely used in the lumbar and cervical spine as a diagnostic tool to identify sources of discogenic pain that may be amenable to surgical treatment. Discography in the cervical spine is currently performed without the benefit of pressure monitoring, and corresponding pressure parameters ...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2005-04-01 00:00:00
abstract：BACKGROUND:Symptomatic Tarlov cysts are a common cause of chronic pain. Many methods have been reported to treat this disease, with variable results. Most previous reports concerning the treatment methods of symptomatic Tarlov cysts were either sporadic case reports or series of limited cases. OBJECTIVE:This study aim...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2017-07-01 00:00:00
abstract：:The rarity of published bleeding complications with respect to the practice of interventional pain medicine suggests two possibilities: techniques are being performed in a manner to minimize bleeding or the process of hemostasis is very forgiving. Hence, bleeding complications may increase if techniques are not perfor...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2004-01-01 00:00:00
abstract：:Appropriate documentation, billing and coding in interventional pain practice is a crucial issue with a wide arena of regulatory reforms. There have been reports of billions of dollars in losses in health care fraud. Office of Inspector General reports a massive war on health fraud. Substantial savings from prepayment...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2000-04-01 00:00:00
abstract：BACKGROUND:Over the last decade various guidelines for quality assurance in pain medicine have been published for cancer pain, acute postoperative pain and other pain conditions. However, quality assurance for interventional pain management procedures has yet to be addressed. An interventional pain program should at le...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：:Management of pain from skeletal metastases is notoriously difficult. Case reports and case series have described radiofrequency ablation of the obturator nerve branches to the femoral head for treatment of intractable hip pain. Ablation of the obturator branches to the femoral head is technically difficult because of...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2014-01-01 00:00:00
abstract：:We introduce a new way to engage the patient with chronic pain, Goal-Directed Health Care (G-DHC). Identifying the patient's major life goals during the medical interview is the key element of this approach along with connecting these life goals to specific health-related goals. The implementation of G-DHC is a shift ...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2006-10-01 00:00:00
abstract：BACKGROUND:Regenerative medicine is a medical subspecialty that seeks to recruit and enhance the body's own inherent healing armamentarium in the treatment of patient pathology. This therapy's intention is to assist in the repair, and to potentially replace or restore damaged tissue through the use of autologous or all...
journal_title：Pain physician
pub_type： 杂志文章,实务指引
doi：
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Among the multiple modalities of treatments available in managing chronic spinal pain, including surgery and multiple interventional techniques, epidural injections by various routes, such as interlaminar epidural injections, caudal epidural injections, transforaminal epidural injections, and percutaneous ad...
journal_title：Pain physician
pub_type： 临床试验,杂志文章
doi：
更新日期：2012-03-01 00:00:00
abstract：:This report describes a 39 year-old woman who underwent attempted discography and intradiscal electrothermal therapy (IDET) of the L5/S1 intervertebral disc. The procedure was abandoned after multiple unsuccessful attempts to cannulate the disc. The case was complicated by at least two lumbar dural punctures, confirme...
journal_title：Pain physician
pub_type： 杂志文章
doi：
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:It is still a challenge to optimize postoperative pain management. The effects of adding dexmedetomidine (DEX) to opioid-based postoperative intravenous patient-controlled analgesia (PCA) are not fully understood. OBJECTIVES:The aim of this study is to assess the efficacy and safety of opioid-DEX combinatio...
journal_title：Pain physician
pub_type： 杂志文章,meta分析,评审
doi：
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND:Opioid misuse and abuse occurring in association with the treatment of chronic non-cancer pain are not new phenomena, but their increasing prevalence in recent years is unprecedented. Advancements in pharmaceutical technologies have provided opioid-related drugs, which lack the pure mu agonist activity chara...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2012-07-01 00:00:00
abstract：:There has been an explosive increase in procedures performed in surgery centers, with approximately 4,700 Medicare-certified surgery centers in the United States. Total ambulatory surgical center (ASC) payments have increased substantially: $1 billion in 1996, and $2.9 billion in 2006. In June 1998, the Healthcare Fin...
journal_title：Pain physician
pub_type： 杂志文章,评审
doi：
更新日期：2007-09-01 00:00:00
